William Earl Tankersley Iv, MD | |
604 S Classen Ave, Suite C, Moore, OK 73160-5401 | |
(405) 799-0900 | |
(405) 799-0902 |
Full Name | William Earl Tankersley Iv |
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Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 604 S Classen Ave, Moore, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053402347 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 24016 (Oklahoma) | Primary |
Entity Name | State Of Oklahoma |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588755532 PECOS PAC ID: 4486558962 Enrollment ID: O20031125000846 |
Entity Name | Uhs Oklahoma City Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083985600 PECOS PAC ID: 6507878113 Enrollment ID: O20150427002122 |
Mailing Address | Practice Location Address |
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William Earl Tankersley Iv, MD Po Box 7411, Moore, OK 73153-1411 Ph: (405) 799-0900 | William Earl Tankersley Iv, MD 604 S Classen Ave, Suite C, Moore, OK 73160-5401 Ph: (405) 799-0900 |
Darius Noori, M.D Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 204 S Riverside Dr, Moore, OK 73160 Phone: 405-759-2138 Fax: 405-759-2138 | |
Clayton D Morris, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 604 S Classen Ave Ste C, Moore, OK 73160 Phone: 405-799-0900 Fax: 405-799-0902 | |
Rachel Dalthorp, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1105 Sw 30th Ct, Moore, OK 73160 Phone: 405-378-2727 Fax: 405-378-2776 | |
Dr. Eduardo A. De Sousa, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1060 Sw 4th St, Moore, OK 73160 Phone: 405-302-2661 Fax: 405-302-2670 |